Dahlrup Beth, Nordell Eva, Steen Carlsson Katarina, Elmståhl Sölve
Division of Geriatric Medicine, Department of Health Sciences, Lund University, Malmö, Sweden.
Dement Geriatr Cogn Disord. 2014;37(3-4):181-95. doi: 10.1159/000355365. Epub 2013 Oct 24.
BACKGROUND/AIMS: Psychosocial intervention has shown positive effects on the caregivers' burden and satisfaction. The aims of this study were to describe the cost and cost-effectiveness of such an intervention.
We analyzed resource use and costs of formal care for 308 persons with dementia and their caregivers' health-related quality of life (HRQoL).
The costs of home help services were lower in the subgroup of spouse caregivers in the intervention group and the cost of nursing home placement was lower in the intervention group. While the person with dementia lived at home, caregivers in the intervention group reported a higher HRQoL (p < 0.01). After the person with dementia had moved to a nursing home, spouses in the control group had a lower HRQoL (p < 0.001).
The result can be interpreted as a positive effect of the intervention focusing on the identified specific needs of the family caregivers.
背景/目的：心理社会干预已显示出对照顾者负担和满意度有积极影响。本研究的目的是描述这种干预的成本和成本效益。
我们分析了308名痴呆症患者的正式护理资源使用和成本以及他们照顾者的健康相关生活质量（HRQoL）。
干预组配偶照顾者亚组的居家帮助服务成本较低，干预组的养老院安置成本较低。当痴呆症患者在家居住时，干预组的照顾者报告的健康相关生活质量较高（p < 0.01）。痴呆症患者搬到养老院后，对照组的配偶健康相关生活质量较低（p < 0.001）。
该结果可解释为针对家庭照顾者已确定的特定需求的干预产生了积极效果。
